Conduct complex medical review of Medicare claims for Inpatient Rehabilitation Facility services.
Perform pre-claim review determinations and evaluate Additional Documentation Request responses.
Communicate determinations to providers and meet production-driven turnaround requirements.
Broadway Ventures is a small business that provides program management, technology, and consulting solutions to government and private sector clients. As a Service-Disabled Veteran-Owned Small Business, they emphasize integrity, collaboration, and excellence.
Provide high-quality consulting services including clinical and regulatory compliance audits to long-term care facilities nationwide.
Manage assigned client facilities with emphasis on service quality, cost-effectiveness, and timely delivery of consulting visits.
Collaborate with teams and maintain effective communication with leadership about customer issues and industry regulations.
Assembly Health is a healthcare company providing clinical consulting services to long-term care facilities nationwide. The team is motivated, client-focused, and committed to excellence and integrity.
Perform telehealth-based E/M or Annual Wellness Visits to establish medical necessity for care navigation services.
Document findings in Baba’s platform with accurate coding and use of SDOH Z-codes, diagnoses, and risk factors.
Develop and approve individualized care plans to ensure alignment with the patient’s medical treatment plan.
Baba is rebuilding healthcare for older adults by pairing them with expert advocates who coordinate their care. It is backed by top tier investors and has supported thousands of families in various care settings.